ArticleDemographic research
The importance of education for understanding variability of dementia onset in the United States.
Article in Demographic research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Longitudinal resting-state EEG-based modeling predicts phenoconversion and delineates heterogeneity in isolated REM sleep behavior disorder.Research square · 2026Article
- How Childhood State Education Quality Shapes the Risk of Cognitive Impairment in Mid-to-Later Life.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2026Article
- Is social connection the key to prevention? Educational attainment, incident dementia, and the role of later-life social engagement.Innovation in aging · 2026Article
- Observational
- Article
- The role of Southern context in shaping life course exposures linked to dementia incidence for Black and White older adults in the United States.BMC geriatrics · 2024Article
- Rural-urban differences in modifiable dementia risk factors among U.S. populations aged 45 years or older.Journal of Alzheimer's disease reportsArticle
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Authors and funding
4 authors.
Funding
Abstract
backgroundGreater levels of education are associated with lower risk of dementia, but less is known about how education is also associated with the compression of dementia incidence.
objectiveWe extend the literature on morbidity compression by evaluating whether increased levels of education are associated with greater dementia compression. We evaluate these patterns across race and gender groups.
methodsWe use the Health and Retirement Study (2000-2016), a nationally representative longitudinal study of older adults in the United States. To evaluate the onset and compression of dementia across education groups, we examine the age-specific distribution of dementia events, identifying the modal age of onset and the standard deviation above the mode (a measure of compression).
resultsWhile the modal age of onset is around 85 years among adults with a college degree, the modal age for adults with less than a high school education occurs before age 65 - at least a 20-year difference. The standard deviation of dementia onset is about three times greater for adults with less than a high school education compared to adults with a college degree. Patterns were consistent across race and gender groups.
conclusionThis research highlights the variability of dementia experiences in the older population by documenting differences in longevity without dementia and compression of dementia onset among more educated adults and less educated adults. CONTRIBUTION: We incorporate conceptual insights from the life span variability and compression literature to better understand education-dementia disparities in both the postponement and uncertainty of dementia onset in the US population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.